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Home My WebLink About11-18-2021 PZ AgendaMR SEBAST HOME OF PELICAN ISLAND 1225 MAIN STREET ■ SEBASTIAN, FLORIDA 32958 TELEPHONE (772) 589-5518 ■ FAX (772) 388-8248 AGENDA PLANNING AND ZONING COMMISSION THURSDAY, NOVEMBER 18, 2021 — 6:00 P.M. CITY COUNCIL CHAMBERS 1225 MAIN STREET, SEBASTIAN, FLORIDA ALL AGENDA ITEMS MAYBE INSPECTED IN THE OFFICE OF COMMUNITY DEVELOPMENT 1225 MAIN STREET, SEBASTIAN, FLORIDA OR ON THE CITY WESSITE 1. CALL TO ORDER 2. PLEDGE OF ALLEGIANCE 3. ROLL CALL 4. ANNOUyCEW�I NT$ AND/OR AGENDA MODIFICATIONS Modifications an acf(dkions require unanimous vote of members. Deletions do not apply. 5. APPROVAL OF MINUTES None 6. QUASI-JUDICIAL and PUBLIC HEARINGS None 7. UNFINISHED BUSINESS None 8. PUBLIC INPUT Public Input on items other than on the printed agenda, is five minutes, however, it can be extended or terminated by a majority vote of members present 9. NEW BUSINESS A. Accessory Structure Review — LDC Section 54-2-7.5 — 714 Brookedge Terrace - 980 SF Detached Garage- Mr. Robert Sautner B. Accessory Structure Review — LDC Section 54-2-7.5 — 933 Oswego Avenue - 960 SF Detached Garage- Mr. James Bucci 10. COMMISSIONERS MATTERS 11. CITY ATTORNEY MATTERS 12. STAFF MATTERS 13. ADJOURN No stenographic record by a certified court reporter will be made of the foregoing meeting. Any person who decides to appeal any decision made by the Council with respect to any matter considered at this meeting will need to ensure that a verbatim record of the proceeding is made, which record includes the testimony and evidence upon which the appeal is to be heard. (F.S.286.0105) In compliance with the Americans with Disabilities Act (ADA) of 1990, anyone who needs a special accommodation for this meeting should contact the City's ADA Coordinator at 772-388-8226 at least 48 hours in advance of the meeting. All government meetings in City Council Chambers will be broadcast live on COS -TV Comcast Channel 25 and ATT UVerse Channel 99 and streamed via the city website — www.citvofsebastian.orp unless otherwise noticed and rebroadcast at a later date — see COS -TV Channel 25 for broadcast schedule ZOOM INFORMATION Please click the link below to join the webinar: httDs://us02web.zoom.us/i/84606064328 Or one tap mobile: US: +13126266799, 84606064328# or +19294362866, 84606064328# Or Telephone: Dial (for higher quality, dial a number based on your current location): US: +1 312 626 6799 or +1 929 436 2866 or +1 301 715 8592 or +1 346 248 7799 or +1 669 900 6833 or +1 253 215 8782 Webinar ID: 846 0606 4328 International numbers available: hops:Hus02web.zoom.us/u/kb8PavjC4m 1. 2. 3. 4. 5. 6. ML, SEBASTIAN HOME OF PELICAN ISLAND Community Development Department Accessory Structure Staff Report Property Owner: Contractor: Requested Action: Project Location: Current Zoning: Required Findings: Robert Sautner Brian Coffey Construction Approval of a 980 SF Detached Garage 714 Brookedge Terrace Lots 23 & 24, Block 249, Sebastian highlands Unit 10 RS-10 Current Land Use: Single-family Residence Does Does Not Comply Comply A. No accessory structure shall be constructed until the construction of the principal structure has been started. 1. House completed 1994 ; or ✓ house under construction 2. Accessory structure to be located on same lot as principal structure ; or located on second lot that has ✓ been combined with principal lot by a unity of title Book 1014, Pace 1050 B. No accessory structure shall be located in any required yard (setback): 1. Front yard: No detached accessory structure shall extend beyond the front building line of the principal structure that is located on the same real estate parcel or lot. Principal ✓ structure setback is 29.9' Accessory structure setback is 70' 2. Front yard on corner lot: Accessory structures may not be located in the secondary front yard of an improved corner lot unless the corner lot is joined in unity of title with an interior lot that contains the principle structure. However, said NW accessory structures shall not be located closer than 25 feet from the secondary front property line in the RS-10 zoning district, and in all other zoning districts shall meet required front yard setbacks. Secondary front yard setback is NA and proposed accessory structure front yard setback is Does Does Not c61hply Comply 3. Side yard: Required side setback is 10, Accessory structure side setback is 10" 0J 4. Rear yard: The required rear yard is 20' . A J detached accessory structure may encroach into the required rear yard, provided it meets all the following: a. It is a minimum 10 feet from the rear property line. J Proposed accessory structure has a 20, setback. b. It is not in an easement. Rear easement is 10, and J proposed setback is 209 c. It does not exceed 400 square feet in lot coverage. Proposed accessory structure is 980 square feet. J d. It does not exceed 12 feet in height. Proposed accessory J structure is 19.511 feet in height. Accessory structures which are attached, or do not meet the above four requirements must meet the standard rear setback J which is 20, Proposed accessory setback is 209 4- C. No mobile home, travel trailer or any portion thereof, or motor vehicle shall be permitted as an accessory structure. J D. Applicant must expressly designate the type of the accessory structure (i.e. garage, shed, etc.) Garage J E. Must comply with all city codes. J F. The height of accessory structure cannot exceed height of principal structure. House is approximately 17.5' f and accessory structure will be 19.5'f . G. Attached or detached Quonset -type or style accessory structures are prohibited. J H. A residential lot is allowed 5 square feet of accessory building area (cumulative) for every 100 square feet of lot area, up to a maximum 1000 square feet. Property square footage 20.000 x .05 = Allowable sq.ft. of accessory structures 11000 ✓ Existing accessory structures 0 Proposed accessory structure 980 SF Total existing and proposed 980 SF 2 7. Planning and Zoning Commission Review: Any attached or detached accessory building, carport or breezeway over 500 square feet in area must be reviewed and approved by the Planning and Zoning Commission utilizing the following criteria: Does Does Not Comply Comply A. Accessory structures may not be constructed or maintained from corrugated metal or corrugated metal -looking products. ✓ B. The roof of the accessory building must have a minimum pitch of 3:12. ✓ C. Accessory structures 501 sq.ft. to 750 sq.ft. in size shall be compatible with the overall general architectural design of the NSA primary residence, including facade and materials, colors and trim, roofing materials and pitch. D. Accessory structures 751 sq.ft. to 1000 sq.ft. in size shall be of the same architectural design of the primary residence, including facade and materials, colors and trim, and roofing materials and pitch. Foundation plantings shall be required on all sides of the accessory structure excluding entranceways and doorways, as follows: 1 shrub for every 3 lineal feet and 24 ✓ inches in height at planting. Lineal dimension totals 107 3 = Total Shrubs Required 36 Review fee has been paid: X YES NO Additional Considerations: Based on the difference of the finished floor elevations of the house which is 22.67' and the garage which is located in an area of the vacant lot where the grade elevations are 20.91' and 20.15', the accessory structure will visually appear as the same height as the principal structure. • Brick facade is only on the front side of the house. The detached garage is proposing a brick facade for the front wall also. Prepared by Date CITY OF SEB�TIAN HOME OF PELICAN ISLAND BUILDING pEPARTMENT FORE PREVENTION OFFICE 12ZS MAIN STREET - SERASI'IAN, FLORIDA 329W TELEPHONE (7M) 589-fW7 FAX (7M) 589-26 PERMIT APPLICATION ALL OF THE FOLLOWING MUST BE FILLED IN BY APPLICANT, ACCORDING TO FS 713.135 PERMIT# c;)/- Vya% DATE: I" - 11 2 1 INDIII1A''N RIVER COUNTY PARCEL ID # 3 1 3 8 2-4 00 OQ 12 ({ 9 O OO O 7 3. CkECEIVED BY: LO"I`:+� 7-4 BLOCK: "q SUBDIVISION: 5*)OC3" ^ 4�A IAA'IfFLOOD ZONE: TYPE OF WORK: {WEW STRUCTURE ADDITION ALTERATION []REPAIR []DEMOLITION[]OTHER WORK INCLUDES:FTRUCTURAL YLECTRICAL aLUMBING E)AECHANICAL 2tOOFING-SLOPE: 5'/fZ- []FIRE SYSTEM [] PC : (, LJ ALUMINUM STRUC1TURE E ,,Sf HED.f�[] FENCE ❑ SLAB OR DECK [] OTHER WORK DESCRIPTION: I��" I I KS 0 e' +izt kc" 3 4RAj ESTIMATED JOB VALUE: S 70 oa O - TOTAL S/F 1 la0 UNDER AIR `� JOB NAME: Iba"'r-r SaH+nC/' JOB ADDRESS: -714 Qraal( Coles sPoh SUITE/UNITNO. PROPERTY OWNER'S NAME: ?-aWT &y}"I9-- PHONE: 6lo-8$78- 89of# ADDRESS: -2/4 Rrw)Krd 6 -rWt- CITY/STATE: SGbR f 40-ft ZIP CODE 7 L9 S ki CONTACT E-MAIL ADDRESS: ___B.obs /96sa .0 gw�al•/ - CA- U CONTRACTOR BUSINESS NAME: r' o'0% a *Al LICENSE #: GCS L I ADDRESS: IQO k s 5%"-..}})h 9 -rT. CONTACT PHONE: 7 L H 3- to /3 L CITY/STATE: V'vo ScA K ZIP CODE 3 L CONTACT&MAIL ADDRESS: r: Gw a 4PRA. &Ac4^A lh'-s. W Pa. e.•I • 4k-1 ARCHITECT/ENGINEER: V aA GT Ow-1 Ip P_ P- C PHONE: % 7 1- � S 1 e- 8 O Y Y ADDRESS: Yarfa nRl6wB0o/ 07 CITY/STATE: uu ,ceeJ6` [�4 ZIP CODE: 3 Y1 b 3 CONTACT &M IL ADDR AA! I n fo (b a na: A E o% A4 lFoiv) L • G .n PRESENT USE: PROPOSED USE: S7wgjt• OCCUPANT LOAD: NUMBER OF: E STORIES []BAYS []UNITS AEDROOMS []HEIGHT IZ-9 'J"p TYPE OF CONSTRUCTION: C D S GROUP OCCUPANCY: AREA IS THE BUILDING PRESENTLY EQUIPPED WITH AN AUTOMATIC FIRE SPRINKLER SYSTEM? [DYES 10 BONDINGCOMPANY: AI /A ADDRESS: MORTGAGE HOLDER: - / R ADDRESS: APPLICATION IS HEREBY MADE TO OBTAIN A PERMIT TO DO THE WORK AND INSTALLATIONS AS INDICATED. I CERTIFY THAT NO WORK OR INSTALLATION HAS COMMENCED PRIOR TO THE ISSUANCE OF A PERMIT AND THAT ALL WORK WILL BE PERFORMED TO MEET THE STANDARDS OF ALL LAWS REGULATING CONSTRUCTION IN THIS JURISDICTION. I UNDERSTAND THAT A SEPARATE PERMIT MUST BE SECURED FOR ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS AND AIR CONDITIONERS, ETC. WARNING TO OWNER. YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. A CERTIFIED COPY OF THE RECORDED NOTICE OF COMMENCEMENT SIGNED BY THE OWNER, SHALL BE FILED WITH THE PERMITTING AUTHORITY IF THE VALUE IS $2,500 OR MORE, EXCEPT HEATING OR AIR CONDITIONING CHANGE OUTS LESS THAT $7,500. NOTICE: IN ADDITION TO THE REQUIREMENTS OF THIS PERMIT, THERE MAY BE ADDITIONAL RESTRICTIONS APPLICABLE TO THIS PROPERTY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THE COUNTY, AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. ANY CHANGE IN BUILDING PLANS OR SPECIFICATIONS MUST BE RECORDED WITH THIS OFFICE. ANY WORK NOT COVERED ABOVE MUST HAVE A VALID PERMIT PRIOR TO STARTING. IN CONSIDERATION OF GRANTS, THIS PERMIT, THE OWNER, AND THE BUILDING CONTRACTOR AGREE TO ERECT THIS STRUCTURE IN FULL COMPLIANCE WITH THE BUILDING AND ZONING CODES OF THE CITY OF SEBASTIAN. NOTE: THIS PERMIT APPLICATION IS VOID AFTER 180 DAYS UNLESS THE WORK, WHICH IT COVERS, HAS COMMENCED. ALL CONTRACTORS MUST HAVE A VALID STATE CERTIFICATION, STATE REGISTRATION, OR CERTIFICATE OF COMPETENCY ISSUED BY THE CITY OF SEBASTIAN PRIOR TO_0►BTAINING PERMIT. tau. aonmoNs, aLTIERnno:as PAIRS EKM •' SIGNkORE OF OWNER/AGENT 66,erl Toc4arffcot PRINTED NAME OFOWNER/AGENT DATE: it - Z MUST HAVE OWNER'S SIGNATUR"N APPLICATION OR PROVIDE COPY OF QUALIFIFiFtrS SIGNATURE *103t i "A;�, 'a PA61 PRINTED NAME OF QUALIFIER DATE: / V " < 1-JI4,.4 ❖ Individuals who sign as the owner's agent must first obtain owner's written authorization to sign on their behalf STATE OF FLORIDA COUNTY OF I ereby c/1 — erti that on this oPA-e- who is Type of i entification prod ed: I -A L A 19). Official Signature of Notary Public "NOTARY IS FOR QUALIFIER'S SIGNATURE" day of &h� , 20 A 1 personally appeared ✓persona ly known to me or has produced identification. Notary Seal M MU L FAUUq+IER •' Cwmisslon # M 125007 v Evtres J* 20,20 »�,Y•� BMJWr uTmyFihhtr�nce60036S1Ot�— 1. 2. 3. 4. 5. 6. MOF e HOME OF PELICAN ISLAND Community Development Department Accessory Structure Staff Report Property Owner: Contractor: Requested Action: Project Location: Current Zoning: Required Findings: James Bucci Pinson Contractor Services, LLC Approval of a 960 SF Detached Garage 933 Oswego Avenue Lots 18 & 19, Block 156, Sebastian Highlands Unit 05 RS-10 Current Land Use: Single-family Residence Does Does Not CoMVIV Comely A. No accessory structure shall be constructed until the construction of the principal structure has been started. 1. House completed 2001 ; or ✓ house under construction 2. Accessory structure to be located on same lot as principal structure ; or located on second lot that has J been combined with principal lot by a unity of title Book 3326, Paee 1798 B. No accessory structure shall be located in any required yard (setback): 1. Front yard: No detached accessory structure shall extend beyond the front building line of the principal structure that is located on the same real estate parcel or lot. Principal ✓ structure setback is 31.9' Accessory structure setback is 73' 2. Front yard on corner lot: Accessory structures may not be located in the secondary front yard of an improved corner lot unless the corner lot is joined in unity of title with an interior lot that contains the principle structure. However, said NW accessory structures shall not be located closer than 25 feet from the secondary front property line in the RS-10 zoning district, and in all other zoning districts shall meet required front yard setbacks. Secondary front yard setback is NA and proposed accessory structure front yard setback is Does Doe4 Not Comply comply 3. Side yard: Required side setback is 10' Accessory structure side setback is 15" ✓ 4. Rear yard: The required rear yard is 20' . A ✓ detached accessory structure may encroach into the required rear yard, provided it meets all the following: a. It is a minimum 10 feet from the rear property line. ✓ Proposed accessory structure has a 20' setback. b. It is not in an easement. Rear easement is 10, and ✓ proposed setback is 20' . c. It does not exceed 400 square feet in lot coverage. Proposed accessory structure is 960 square feet. ✓ d. It does not exceed 12 feet in height. Proposed accessory ✓ structure is 19.5' f feet in height. Accessory structures which are attached, or do not meet the above four requirements must meet the standard rear setback ✓ which is 20' Proposed accessory setback is 20' . C. No mobile home, travel trailer or any portion thereof, or motor vehicle shall be permitted as an accessory structure. ✓ D. Applicant must expressly designate the type of the accessory structure (i.e. garage, shed, etc.) Garage ✓ E. Must comply with all city codes. F. The height of accessory structure cannot exceed height of principal structure. House is approximately 18' f , and accessory structure will be 19.51f G. Attached or detached Quonset -type or style accessory structures are prohibited. ✓ H. A residential lot is allowed 5 square feet of accessory building area (cumulative) for every 100 square feet of lot area, up to a maximum 1000 square feet. Property square footage 20,000 x .05 = Allowable sq.ft. of accessory structures 11000 ✓ Existing accessory structures 0 Proposed accessory structure 960 SF Total existing and proposed 960 SF 2 7. Planning and Zoning Commission Review: Any attached or detached accessory building, carport or breezeway over 500 square feet in area must be reviewed and approved by the Planning and Zoning Commission utilizing the following criteria: Does Does Not Comply Comply A. Accessory structures may not be constructed or maintained from corrugated metal or corrugated metal -looking products. B. The roof of the accessory building must have a minimum pitch of 3:12. ✓ C. Accessory structures 501 sq.ft. to 750 sq.ft. in size shall be compatible with the overall general architectural design of the MA primary residence, including facade and materials, colors and trim, roofing materials and pitch. D. Accessory structures 751 sq.ft. to 1000 sq.ft. in size shall be of the same architectural design of the primary residence, including facade and materials, colors and trim, and roofing materials and pitch. Foundation plantings shall be required on all sides of the accessory structure excluding entranceways and doorways, as follows: 1 shrub for every 3 lineal feet and 24 ✓ inches in height at planting. Lineal dimension totals 100 3 = Total Shrubs Required 33 Review fee has been paid: X YES NO Additional Considerations: • Based on the difference of the finished floor elevations of the house which is 23.5' and the carport is at 21.5', the accessory structure will visually appear as the same height as the principal structure. • A separate permit for the culvert pipe and a 65' auxiliary driveway (millings) has already been approved. Prepared by Date 3 CITY OF SEs`�TI�N HOME OF PELICAN ISLAND BUILDING DEPARTMENT FIRE PREVENTION OFFICE 12 MAIN STREET • SEBASTIAN. FLORIDA 32958 TELEPHONE: (VTL) 589-5531 FAX (772) 589-2 " PERMIT APPLICATION ALL OF THE FOLLOWING MUST BE FILLED IN BY APPLICANT, ACCORDING TO FS 713.135 PERMIT# a� Kayo DATE: INDIA,N ,RAVER COUNTY PARCEL ID # jj M 0Wa?/j�dSt�/ - D RECEIVED BY: LOT:c �n BLOCK:164SUBDIVISION: } i S FLOOD ZONE: TYPE OF WORK: E!�EW STRUCTURE ADDITION ❑ALTERATION REPAIR QDEMOLITION ❑ OTHER WORK INCLUDES: aTRUCTURAL ✓ELECTRICAL PLUMBING E]MECHANICAL EqfOOFING - SLOPE:_ FIRE SYSTEM ❑ POOL ❑ ALUMINUM STRUCTURRE E) SHED Q FENCE aSLAB OR DECK OTHER WORK DESCRIPTION: eP1ogmyigr Nt N/ Z y% ow" - ESTIMATED JOB VALUE: S_�/y',yl "TOTAL S/F - VW2 UNDER AIR JOB NAME: r)/Ay-111 JOB ADDRESS:_ 7 3l (/SC!%G/%O �✓ SUITE/UNIT NO. V t� PROPERTY OW R'S NA E: PHONE: ADDRESS: ire O �' CITY/STATE:tr STi/ ZIP CODE ?c9dr CONTACT E-MAII. ADDRESS: .T -FIN d Ai /• COS CONTRACTOR BUSINESS NAME: ,w/fl7w�-ON�^Tgh 7h�1/itl3.ICENSE#: 0� �i ADDRESS: T aI� CONTACT PHONE: CITY/STATE: F�ASTi/V�r ZIP CODE CONTACT E-MAIL ADDRESS: ✓�%j'A,* CS RyQi�%.Ri/. dd - ARCHITECT/ENGINEER: PHONE:_27V-o�elp ADDRESS: CITY/STATE: ZIP CODE: CONTACT E-MAIL ADDRESS: PRESENT USE: PROPOSED USE: OCCUPANT LOAD: NUMBER OF: EZ�TORIES ❑BAYS ❑UNITS ❑BEDROOMS ❑HEIGHT TYPE OF CONSTRUCTION: --J&& Li GROUP OCCUPANCY: AREA IS THE BUILDING PRESENTLY EQUIPPED WITH AN AUTOMATIC FIRE SPRINKLER SYSTEM? ❑YES aO BONDING COMPANY: ADDRESS: MORTGAGE HOLDER: ADDRESS: APPLICATION IS HEREBY MADE TO OBTAIN A PERMIT TO DO THE WORK AND INSTALLATIONS AS INDICATED. I CERTIFY THAT NO WORK OR INSTALLATION HAS COMMENCED PRIOR TO THE ISSUANCE OF A PERMIT AND THAT ALL WORK WILL BE PERFORMED TO MEET THE STANDARDS OF ALL LAWS REGULATING CONSTRUCTION IN THIS JURISDICTION. I UNDERSTAND THAT A SEPARATE PERMIT MUST BE SECURED FOR ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS AND AIR CONDITIONERS, ETC. WARNING TO OWNER. YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. A CERTIFIED COPY OF THE RECORDED NOTICE OF COMMENCEMENT SIGNED BY THE OWNER, SHALL BE FILED WITH THE PERMITTING AUTHORITY IF THE VALUE IS $2,500 OR MORE, EXCEPT HEATING OR AIR CONDITIONING CHANGE OUTS LESS THAT $7,500. NOTICE: IN ADDITION TO THE REQUIREMENTS OF THIS PERMIT, THERE MAY BE ADDITIONAL RESTRICTIONS APPLICABLE TO THIS PROPERTY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THE COUNTY, AND THERE MAY BE ADDITIONAL PERMITS REQUIRED' FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. ANY CHANGE IN BUILDING PLANS OR SPECIFICATIONS MUST BE RECORDED WITH THIS OFFICE. ANY WORK NOT COVERED ABOVE MUST HAVE A VALID PERMIT PRIOR TO STARTING. IN CONSIDERATION OF GRANTS, THIS PERMIT, THE OWNER, AND THE BUILDING CONTRACTOR AGREE TO ERECT THIS STRUCTURE IN FULL COMPLIANCE WITH THE BUILDING AND ZONING CODES OF THE CITY OF SEBASTIAN. NOTE: THIS PERMIT APPLICATION IS VOID AFTER 180 DAYS UNLESS THE WORK, WHICH IT COVERS, HAS COMMENCED. ALL CONTRACTORS MUST HAVE A VALID STATE CERTIFICATION, STATE REGISTRATION, OR CERTIFICATE OF COMPETENCY ISSUED BY THE CITY OF SEBASTIAN PRIOR TO OBTAINING PERMIT. ❖ (ALL ADDITIONS, ALTERATIONS OR REPAIRS MUST HAVE OWNER'S SIGNATURE ON APPLICATION OR D CT) •' ATURE OF OWNER/AGENT PRINTED NAME OF OWNER/AGENT DATE: AP_UAL17FIW'S SIGNATURE V10 v 'PRINTED NAME OF QUALIFIER DATE: ! - ;;D A-1 PROVIDE COPY OF ❖ Individuals who sign as the owner's agent must first obtain owner's written authorization to sign on their behalf STATE OF FLORIDA "NOTARY IS FOR QUALIFIER'.$ SIGNATURE" COUNTY OF I hereby ce 'fy that on this 30 day of '5 .Ief►hQ,, 2021 personally appeared _�rt% �It'vuj/N who is &--- personally known to me or has produced identification. Type of identification produced: 0ffiaI Signature VNotary Public Notary Seal �opg ;?�e4c JANICE L. LEGER * * Commisslon # GG 328881 �r Expires June 6, 2023 'SOFA-0 eoeao 7WkVq tN0Wy8Wv1W